Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 218707-1 | NY |
NPI | 1033193313 |
---|---|
Provider Name | Dr. Anjali Sharma |
First Address | Bronx, NY 10461-1900 |
Second Address | Bronx, NY 10467-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 25/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31628 | (02) | NY |